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Sacroiliac Joint Fusion

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Deer's Treatment of Pain

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Abstract

The sacroiliac joint (SIJ) is anatomically and biomechanically unique and serves as a principal weight-bearing joint. Characterized as both diarthrotic and amphiarthrotic, its articular surfaces interlock to comprise a self-bracing joint that provides stability for the axial skeleton. The SIJ is innervated by the lateral branches of S1, S2, and S3 and more infrequently by L5 and S4. Etiology of SIJ pain includes trauma, structural abnormalities, previous lumbosacral fusion surgery, postpartum mechanical changes, and inflammatory diseases. Furthermore, pain from lumbar and hip pathologies may be difficult to distinguish from SIJ pain. Recent treatment for SIJ pain has expanded from conservative management to include SIJ fusion for intractable pain.

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Author information

Authors and Affiliations

  1. Neurosurgery Department, Ochsner Health System, New Orleans, LA, USA

    Edna Gouveia, Daniel R. Denis, Taylor Brittan & Joshua Hanna

  2. Ochsner Health System, Kenner, LA, USA

    Daniel R. Denis

  3. Interventional Pain Management, Department of Anesthesiology & Critical Care Medicine, Ochsner Health System, New Orleans, LA, USA

    Maged Guirguis

  4. University of Queensland Ochsner Medical School, Brisbane, QLD, Australia

    Maged Guirguis

  5. Louisiana State University School of Medicine, New Orleans, LA, USA

    Maged Guirguis

Authors
  1. Edna Gouveia
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  2. Daniel R. Denis
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  3. Taylor Brittan
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  4. Joshua Hanna
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  5. Maged Guirguis
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Corresponding author

Correspondence to Daniel R. Denis .

Editor information

Editors and Affiliations

  1. The Spine and Nerve Center of the Virginias, Charleston, WV, USA

    Timothy R. Deer

  2. Evolve Restorative Center, Santa Rosa, CA, USA

    Jason E. Pope

  3. Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA

    Tim J. Lamer

  4. Pain Diagnostics and Interventional Care, Sewickley, PA, USA

    David Provenzano

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Gouveia, E., Denis, D.R., Brittan, T., Hanna, J., Guirguis, M. (2019). Sacroiliac Joint Fusion. In: Deer, T., Pope, J., Lamer, T., Provenzano, D. (eds) Deer's Treatment of Pain. Springer, Cham. https://doi.org/10.1007/978-3-030-12281-2_54

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  • DOI: https://doi.org/10.1007/978-3-030-12281-2_54

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-12280-5

  • Online ISBN: 978-3-030-12281-2

  • eBook Packages: MedicineMedicine (R0)

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